The nurse is observing the meal selections of a group of pregnant and postpartal clients. One meal consists of a cup of skim milk, soy burger on a bun, baked beans, 8 ounces of water, four carrot sticks, and a mixed fresh fruit cup
For which client is this meal the best choice? 1. 27-year-old primip, 8 weeks' gestation, Hgb 11.0
2. 30-year-old multip two days postpartum, bottle-feeding
3. 15-year-old primip, one day postpartum, breastfeeding
4. 20-year-old multip, 32 weeks' gestation, reports fatigue.
3
Rationale:
1. This client needs a high-iron diet. The meal described is high in calcium and protein, but low in iron.
2. The meal described is high in calcium and protein. This meal would be more than adequate for a bottle-feeding client, but is better suited to a breastfeeding client.
3. This is the best client for this meal. Because the client is an adolescent, she needs a high-protein diet, and because she is breastfeeding, she needs a high-calcium diet. The meal described is high in calcium and protein: milk, soy, and beans all are sources of protein, while milk and soy are good sources of calcium.
4. The high protein and calcium of the described meal are good during pregnancy, but the report of fatigue could indicate a low hemoglobin level that requires additional assessment prior to recommending a specific diet.
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